52.91.49.203
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>2</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>11/07/2015</StartDate>
  <EndDate>11/30/2015</EndDate>
  <DestinationPlan>United States</DestinationPlan>
  <NoOfApplicants>1</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Lachlan</Firstname>
    <Middlename>J</Middlename>
    <Lastname>Fahy</Lastname>
    <Age>19</Age>
    <Dob>09/09/1996</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>11/07/2015</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>2-7-7 Takaido Nishi</Address1>
      <Address2>Suginami ku</Address2>
      <Country>Japan</Country>
      <State/>
      <City>Tokyo</City>
      <Postcode>168-0071</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>fahys@mac.com</Email>
    <Phone>
      <Home>818076990066</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName>John Fahy</AdDBeneficiaryName>
    <AdDBeneficiaryRelationship>Father</AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>Visa</CreditcardType>
      <CreditcardNumber>4442968698950892</CreditcardNumber>
      <NameonCreditcard>John S Fahy</NameonCreditcard>
      <CreditcardExpirationMonth>2</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2018</CreditcardExpirationYear>
      <CreditcardAmount>33.12</CreditcardAmount>
      <CreditcardCodeNumber>455</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
faa196b6
ARS-02-0023872
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-02-0023872</PolicyNumber><UserName>faa196b6</UserName><Password>faa196b6</Password></PolicyDetails></RegistrationRes>